Dr. Andrea Furlan

This could be a tumor, a metastasis of a cancer. This could be a fracture. This could be an inflammatory process because my patient is having fever. Or this could be an infection in the bone because the patient uses IV drugs. They inject drugs and now a bacteria can be growing in their vertebra. So if you're not concerned that it's one of those things, Don't even order imaging.

This could be a tumor, a metastasis of a cancer. This could be a fracture. This could be an inflammatory process because my patient is having fever. Or this could be an infection in the bone because the patient uses IV drugs. They inject drugs and now a bacteria can be growing in their vertebra. So if you're not concerned that it's one of those things, Don't even order imaging.

The guidelines say if you order imaging, MRI, anything, you're going to cause more damage to the person. And that's because we all have some abnormality. Right now, Drew, if I MRI your lumbar spine, I don't know how old you are, but you're probably younger than I, but I can guarantee I'll find some disc problems because research has been done. We'll find disc problems, facet problems.

The guidelines say if you order imaging, MRI, anything, you're going to cause more damage to the person. And that's because we all have some abnormality. Right now, Drew, if I MRI your lumbar spine, I don't know how old you are, but you're probably younger than I, but I can guarantee I'll find some disc problems because research has been done. We'll find disc problems, facet problems.

The guidelines say if you order imaging, MRI, anything, you're going to cause more damage to the person. And that's because we all have some abnormality. Right now, Drew, if I MRI your lumbar spine, I don't know how old you are, but you're probably younger than I, but I can guarantee I'll find some disc problems because research has been done. We'll find disc problems, facet problems.

They're not causing you any back pain right now. These are just incidental findings. The problem is when the patient sees that in the MRI and the doctor sees that, they all go panicking and now they think they need to treat that thing when that thing is actually not the cause of pain. It was just an incidental finding.

They're not causing you any back pain right now. These are just incidental findings. The problem is when the patient sees that in the MRI and the doctor sees that, they all go panicking and now they think they need to treat that thing when that thing is actually not the cause of pain. It was just an incidental finding.

They're not causing you any back pain right now. These are just incidental findings. The problem is when the patient sees that in the MRI and the doctor sees that, they all go panicking and now they think they need to treat that thing when that thing is actually not the cause of pain. It was just an incidental finding.

Okay, my top one right now has always been my top one, but right now I have seen a lot of success is using mind-body interventions, things that fix that pain. Remember the alarm system that I mentioned in the beginning. When the alarm system is out of walk, is deregulated, that danger signal is going off all the time,

Okay, my top one right now has always been my top one, but right now I have seen a lot of success is using mind-body interventions, things that fix that pain. Remember the alarm system that I mentioned in the beginning. When the alarm system is out of walk, is deregulated, that danger signal is going off all the time,

Okay, my top one right now has always been my top one, but right now I have seen a lot of success is using mind-body interventions, things that fix that pain. Remember the alarm system that I mentioned in the beginning. When the alarm system is out of walk, is deregulated, that danger signal is going off all the time,

Talking to a therapist, doing some counseling, some psychotherapy helps to reduce that fear of pain, helps to regain confidence that you can move, helps them to see stressful situations in their daily life that is aggravating that muscle tension, helps them to become more self-confident. and more positive and reducing the thoughts of catastrophization. Like, oh, this is going to get worse.

Talking to a therapist, doing some counseling, some psychotherapy helps to reduce that fear of pain, helps to regain confidence that you can move, helps them to see stressful situations in their daily life that is aggravating that muscle tension, helps them to become more self-confident. and more positive and reducing the thoughts of catastrophization. Like, oh, this is going to get worse.

Talking to a therapist, doing some counseling, some psychotherapy helps to reduce that fear of pain, helps to regain confidence that you can move, helps them to see stressful situations in their daily life that is aggravating that muscle tension, helps them to become more self-confident. and more positive and reducing the thoughts of catastrophization. Like, oh, this is going to get worse.

I'll become paralytic and I'll become in a wheelchair and this is only to get worse. So talk therapy, psychotherapy, mind-body interventions are my top one right now. The other ones that are holistic in the complementary field, I would say things that help you to relax overall. So I recommend a lot of massage, acupuncture, because they will help to downplay that stress.

I'll become paralytic and I'll become in a wheelchair and this is only to get worse. So talk therapy, psychotherapy, mind-body interventions are my top one right now. The other ones that are holistic in the complementary field, I would say things that help you to relax overall. So I recommend a lot of massage, acupuncture, because they will help to downplay that stress.

I'll become paralytic and I'll become in a wheelchair and this is only to get worse. So talk therapy, psychotherapy, mind-body interventions are my top one right now. The other ones that are holistic in the complementary field, I would say things that help you to relax overall. So I recommend a lot of massage, acupuncture, because they will help to downplay that stress.

I didn't mention here in this interview the importance of the parasympathetic and sympathetic nervous system. The sympathetic one is the fight-flight response, the stress response. The parasympathetic is the heal, digest, the system that you cannot be relaxed and anxious at the same time. So if your sympathetic drive is too high, you do need to activate the parasympathetic.

I didn't mention here in this interview the importance of the parasympathetic and sympathetic nervous system. The sympathetic one is the fight-flight response, the stress response. The parasympathetic is the heal, digest, the system that you cannot be relaxed and anxious at the same time. So if your sympathetic drive is too high, you do need to activate the parasympathetic.

I didn't mention here in this interview the importance of the parasympathetic and sympathetic nervous system. The sympathetic one is the fight-flight response, the stress response. The parasympathetic is the heal, digest, the system that you cannot be relaxed and anxious at the same time. So if your sympathetic drive is too high, you do need to activate the parasympathetic.